Alternative Healthcare Family Practice Center Llc | |
312 S 7th St Suite 4 Delavan WI 53115-1964 | |
(262) 740-0900 | |
(262) 740-0909 |
Full Name | Alternative Healthcare Family Practice Center Llc |
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Speciality | Clinic/center - Primary Care |
Location | 312 S 7th St, Delavan, Wisconsin |
Authorized Official Name and Position | Julie R Lynch (PHYSICIAN) |
Authorized Official Contact | 2627400900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alternative Healthcare Family Practice Center Llc 312 S 7th St Suite 4 Delavan WI 53115-1964 Ph: (262) 740-0900 | Alternative Healthcare Family Practice Center Llc 312 S 7th St Suite 4 Delavan WI 53115-1964 Ph: (262) 740-0900 |
NPI Number | 1942425210 |
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Provider Enumeration Date | 04/13/2007 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942425210 | NPI | - | NPPES |
44907-021 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 44907-021 (Wisconsin) | Primary |
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